Indian
Railway Medical Manual
https://wr.indianrailways.gov.in/uploads/files/1325917450835-IRMM.pdf
CONTENTS
Volume – I
CHAPTER I
ORGANISATION AND OBJECTIVES
OF THE HEALTH DEPARTMENT
|
Section A |
Introduction |
|
Section B |
Organisation |
|
Section C |
Objectives |
CHAPTER II
MEDICAL PERSONNEL
|
Section |
Description |
ACS/ Letter No. |
Subject |
|
Section
A |
Code
of Conduct for Medical Officers |
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|
Section
B |
Duties
and Responsibilities |
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|
Section
C |
Scope
of Private Practice |
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|
Section
D |
Court
Attendance by Railway Doctors |
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|
Section
E |
Training |
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|
Sub
section (1) |
Study
outside the normal duty hours |
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Sub
section (2) |
Training
of Non-Gazetted Medical personnel |
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|
Sub
section (3) |
Refresher
course |
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|
Sub
section (4) |
Training
of Group ‘C’ & ‘D’ staff |
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Sub
section (5) |
Post
graduate specialty training on deputation(duty) terms |
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Sub
section (6) |
Study
leave |
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Sub
section (7) |
Training
abroad |
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|
Sub
section (8) |
Other
General instructions regarding training |
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|
Section F |
Honorary
consultants |
Modification of instructions
regarding appointment of Honorary Consultants on Railways-Amendment to paras 233(3),235(3),(4)
& 238(1) of 1RMM-2000 (Vol.1) dt. |
|
|
Section
G |
Part
time dentists on the Railway |
Indian
Railway Medical Manual 2000- Amendment of Para 239(1) &(2)
thereof for change in Honorarium of Part-time Dental Surgeons &
withdrawal of complimentary pass facility. |
|
|
Sectiion H |
Other
General Instructions regarding Medical personnel |
Enhancement
of rates for utilizing the services of an anesthetist |
CHAPTER III
MEDICAL INSTITUTIONS
|
Section A |
General |
|
Section B |
Returns |
|
Section C |
Boards
and Notices |
|
Section D |
Fire
fighting |
|
Section E |
Preservation
of Records |
CHAPTER IV
MEDICAL STORES AND
EQUIPMENT
|
Section |
Description |
ACS/ Letter No. |
Subject |
|
Section A |
Policy
for provision of Machine to Railway Health beneficiaries |
Policy
for provision of Bi PAP/CPAP Machine to Railway Health beneficiaries |
CHAPTER V
MEDICAL EXAMINATION
https://drive.google.com/file/d/1L63_duLqlkeC6ziDb4Z3Ux6p8rdvuvk9/view?usp=share_link
|
Section |
Description |
ACS/ Letter No. |
Subject |
|
Section
A |
Medical Examinatiuon of Candidates for appointment to
the Gazetted Railway service |
Medical
fitness of Railway employees/ candidates who have undergone Tympanoplasty reg. |
|
|
|
|
Corrigendum
TO ACS No. 9 of Health 2003 for amendment to para 503(b)
of Indian Railway Medical Manual, 2000(IRMM,2000) Medical Examination of
candidates appointed to the Indian railways Medical Services |
|
|
|
|
Amendment
to Paras 503 and 508 of IRMM 2000-
Medical Examination of candidates appointed in the Indian Railway Medical
Services |
|
|
Section
B |
Medical
Examination of Candidates for appointment to the Non-Gazetted Railway
Service and of serving Non-gazetted Railway
employees |
Amendment to Note of Para 511 of IRMM, 2000-Medical
standards for examination of candidates (Gazetted and
Non-Gazetted)appointed in RPF |
|
|
|
|
2005/H/23/7
dated 28.1.2009 |
Deployment
of drivers as power controller/crew controller Amendment to para 12.7.2 of Annex. III ( para 509,512)
of IRMM,2000 (items No. 31/2005) |
|
|
|
PME-Medical
De Categorisation of Running Staff |
|
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|
Medical
fitness of Railway Employee with Intro-Ocular Lens(IOL) Amendment to |
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Medical
fitness of Railway Employee with Intro-Ocular Lens(IOL) Amendment to |
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Medical
fitness of Railway Employee with Intro-Ocular Lens(IOL) Amendment to |
|
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|
Categorization
of Physically handicapped persons for the purpose of reservation in
employment |
|
|
|
|
Amendment
to Note Para 511 of IRMM, 2000 –Medical Standards for examination of
candidates (Gazetted and Non-Gezetted appointed in Railway Protection Force (RPF) |
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|
Amendment
to Note of Para 511 of IRMM-2000 -Medical Standards for examination of
candidates ( Gazetted & Non-Gazetted) appointed in Railway Protection force (RPF) |
|
|
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|
Medical
fitness of Railway Employees with Intra Ocular Lens (IOL)- Amendments
to p? 512(10) of IRMM-2000 |
|
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|
Medical
fitness of Railway Employees with Intra Ocular Lens (IOL)- Amendments
to p? 512(10) of IRMM-2000 |
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|
Medical
fitness of Railway Employees with Intra Ocular Lens (IOL)- Amendments
to p? 512(10) of IRMM-2000 |
|
|
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|
Medical fitness
of Railway Employees with Intra Ocular Lens (lOL)-
Amendments to pa 512(1) of IRMM-2000 |
|
|
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|
Deletion
of Non-existent staff designations as given in Annexure IV to Para 510 of
IRMM-2000 Recommendation of CRS/Northern Circle. |
|
|
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|
Categorization
of physically handicapped persons for the purpose of reservation in
employment sub-category- the deaf. |
|
|
Section
C |
Medical
Examination of Railway Employees on promotion from Non-gazetted to Gazetted posts |
Medical
Exam. Criteria for various categories for Promotion from Group “C” to Group
“B” |
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|
Section D |
Medical
Certificate |
|
|
|
Sub
section (1) |
Non-Gazetted employees |
|
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|
Sub
section (2) |
Gazetted employees |
|
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|
Sub
section (3) |
General |
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Section
E |
Medical
Boards |
|
|
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Section
F |
Medical
Recommendation |
|
|
|
Section
G |
Medcial Examination
and Certification for Drunkenness |
Recommendations
made by Commissioner of Railway Sa regarding 'Mandatory collecti of blood samples of the crew(engine crew and guard) the trains involved in
accident Monitoring of Implementatior Board's
instructions on Zonal Railways. |
|
|
|
|
Amendment to Para
565 of IRMM2000- Addition of an annexure-XXlV to
Chapter-V IRMM'2000- 'Policy Guidelim for
detecting the drunkenness duty' |
|
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|
Section
H |
Medical
Examination and Certification for Mental Instability |
|
|
|
Section I |
Medical
Examination and Certification of Assault Cases and other Medico-Legal Cases |
|
|
|
Section
J |
Post
Mortem Examination |
|
|
CHAPTER VI
MEDICAL ATTENDANCE AND
TREATMENT
|
Section |
Description |
ACS/ Letter No. |
Subject |
|
Section
A |
Definitions |
Inclusion
of the name of legally divorced sister of serving Railway employees and pensioners |
|
|
|
|
Deletion of clause regarding medical facilities
available to married daughter under 18 years of age. |
|
|
|
|
Removal of age limit of 25 years in respect of
medical facilities for dependent children of serving Railway employees and
pensioners. |
|
|
|
|
Extension of medical facilities the widow mother in
law of th widow on her appointment oi compassionate grounds-Amendment to para 601(6) of IRMM'2000 |
|
|
|
|
Extension
of medical facilities the widow mother in law of th widow
on her appointment oi compassionate
grounds-Amendment to para 601(6) of
IRMM'2000 |
|
|
Section
B |
Extent
of Application: |
|
|
|
|
Sub
Section(1) Railway Employees |
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|
Sub
Section(2) Railway Employees on leave/leave preparatory to Retirment/Post retirement leave |
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Sub
section(3) Re-employed Railway Employees |
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Sub
section (4) Officers and Staff of the Commissioner of Railway Safety |
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Sub
section (5) Audit Staff |
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Sub
section (6) Railway Employees on Deputation to RITES/IRCON |
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Sub
section (7) Railway Employees on Deputation with Trade Unions, etc |
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Sub
section (8) Trade Union officials who are Ex-Railway Employees |
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Sub
section (9) Quasi Railway Organisations |
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Sub
section (10) Apprentices |
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Sub
Section (11) Retired Railway Employees |
No.
2009/H/23/2 dated
11.12.2009 |
Medical
attendance and treatment to Hon’ble Ministers
for Railways, Ministers of State for Railways & Dy.
Ministers for Railways |
|
|
|
No.
2007/H/28/1/RELHS dated 30.11.2009 |
Joining
RELHS -97- Technical resignation. |
|
|
|
No.
2003/28/1/RELHS dated 8.7.2009 |
Proforma for
joining RELHS to be signed by Serving Railway employees before
Superannuation. |
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|
Sub sectuib (12) Railway employees
controlled/commissioned in the Territorial Army |
|
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Sub
section (13) Government Railway Police Personnel |
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Sub
section (14) Private Servants |
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Sub
section (15) Casual Labour |
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Sub
section (16) Contractors, their Staff and Labourers |
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Sub
section (17) Licensed Porters |
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Sub
section (18)Licensed Shoe Shine Boys |
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Sub
section (19) Commissioned Vendors |
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Sub
section (20)Pool Officers |
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Sub
section (21) Outsiders |
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Sub
section (22)Employees of other Govt Departments |
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Sub
section (23) Central Government Employees governed by the C.S.(M.A) Rules 944 |
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Sub
section (24) Railway Employees on Deputation in India/Abroad |
Permission
to treat Attested Photocopy of RELHS card as a valid document. 626(1) |
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Sub
section (25) General |
|
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|
Section
C |
Scope
of Medical Attendance and Treatment |
|
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|
Sub
section (1) General |
No.
2009/H/23/2 dated
11.12.2009 |
Medical
attendance and treatment to Hon/ble Ministers
for Railways, Ministers of State for Railways & Dy.
Ministers for Railways |
|
|
|
Reimbursement
of medical expenses for Breast Implant/Prosthesis 636(2) |
|
|
|
Sub
section (2) Instructions regarding Diet |
Revision
of Diet Charges for patient admitted in Railway Hospitals |
|
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|
|
Revision
of diet charges and bas for fixation of the same. 642 |
|
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|
|
Supply
of Free diet to Group 'D' Railway employees and their dependents suffering
from diseases like Cancer, T.B and HIV/AIDS. 641 |
|
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|
Sub
section (3) Instructions regarding Nursing |
|
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|
Sub
section (4) Reimbursement |
Corrigendum
Reimbursement of Medical Expenses- procedure of disposal |
|
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Reimbursement
of Medical Expenses- procedure of disposal |
|
|
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|
No.
2007/H//6-1/Policy-1 dated 31.12.2009 |
Guidelines
regarding Cochlear implantation in Non Railway Hospitals for Railway
Beneficiaries |
|
|
|
No.
2007/H/6-4/Policy-1 dated 8.12.2009 |
Delegation of
powers to Additional General Managers for (a) Reimbursment of
medical expenses and (b) Advance payment and referral for procurement of
pacemaker. |
|
|
|
Delegation of powers to General Managers for Advance
Payment & Referral for medical treatment of Railway Persons |
|
|
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|
Delegation
of Powers to General Manager for (a) Re-imbursement of Medical Expenses
and (b) Advance Payment & Referral for procurement of pace maker. |
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|
Delegation
of Powers to General Manager for (a) Re-imbursement
of Medical Expenses and (b) Advance Payment & Referral. |
|
|
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|
Re-imbursement of Medical Expenses Delegation of Powers to
Divisional Railway l Manager . |
|
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|
Re-imbursement of Medical Expenses –procedure of Disposal. |
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|
Delegation
of Powers to General Manager for (a) Re-imbursement
of Medical Expenses and (b) Advance Payment & Referral. 648 |
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|
Medical
Attendance and Treatment: Sanction of advance payments 651 |
|
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Ceiling
for referral cases-delegation of powers. |
|
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|
Enhancement
of powers for |
|
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|
No. 2000/H/6-4/Policy dated 06/03/2003 |
Reimbursement of medical expenses-delegation of
powers 648(1) (b)and 648(2) |
|
|
|
Enhancement
of powers for procurement of VV1 Pace -Maker. 666(i) |
|
|
Section D |
|
|
|
|
|
Other
General Instructions regarding Medical Attendance/Treatment |
Classification
of Cath-Labs Procedures. |
Volume – II
CHAPTER VII
MEDICAL AID AT THE TIME OF
RAILWAY ACCIDENTS
|
|
Chapter
Subject |
Letter
No. & Date |
SUBJECT |
|
|
Medical
Aid at the time of Railway Accident |
Medical
treatment of Railway passengers involved in accidents/untoward accidents.711
(7)&(8) and |
|
|
|
|
Extent
of medical treatment to h provided to victims of Railway accidents & in
other untoward incidences. 711 to 715 |
|
|
|
|
Delegation
of powers for making on the spot payment to private hospitals for treatment
of injure( in a Railway Accident.712(5) &(6) |
CHAPTER VIII
SPECIAL PROVISIONS RELATING
TO VARIOUS DISEASES
|
|
Chapter
Subject |
Letter
No. & Date |
SUBJECT |
|
Section
A |
Tuberculosis |
|
|
|
Section
B |
Cancer |
|
|
|
Section
C |
Poliomyelitis,
Cerebral Paralysis |
|
|
|
Section D |
Mental
Health |
|
|
|
Section
E |
Diabeties |
No. 2004/H/PNM-AIRF dated 31/08/2004 |
Scope
of treatment of employees. their families and dependent relative- amendment
to para 828 of IRMM, 2000 - 828 |
|
Section F |
Leprosy |
|
|
|
Section
G |
Other
general instructions relating to the diseases dealt with in Section A to F |
|
|
CHAPTER IX
PUBLIC HEALTH SERVICES
|
Section
A |
Sanitation |
|
Section B |
Provision
of Safe Water Supply |
|
Section
C |
Medical
arrangements at major Fairs (Mela) and Festivals |
|
Section D |
Quarantine |
|
Section
E |
School
Health |
|
Section F |
General
Physical check-up of certain categories of staff |
|
Section
G |
National
Health Programme |
|
Section H |
Health
Education |
CHAPTER X
PREVENTION OF FOOD
ADULTERATION
|
Section A |
The
Prevention of Food Adulteration Act, 1954 and the Prevention Food
Adulteration Rules, 1955 |
|
Section
B |
Instructions
regarding Prevention of Food Adulteration |
CHAPTER
ST. JOHN’S AMBULANCE
CHAPTER XII
BUDGETING AND CONTROL OF
EXPENDITURE
|
|
Chapter
Subject |
Letter
No. & Date |
SUBJECT |
|
|
|
Revision
of Parade Allowance of Members of St. .John Ambulance Brigade functioning on
Railway-amendment to |
CHAPTER XIII
GUIDELINES FOR OPENING AND
LICENSING OF BLOOD BANK
CHAPTER-XIV
FAMILY WELFARE PROGRAMME
|
Section
A |
Family
Planning |
|
Section
B |
Child
Survival and Safe Motherhood Programme |
CHAPTER XV
OCCUPATIONAL HEALTH
|
Section
A |
Workmen’s
Compensation Act and Medical Examination And Certification under the
Workmen’s Compensation Act |
|
Section
B |
Medical
Examination and Certification under Factories Act & Occupational Safety |
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